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General NPI Number Information
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NPI Number | 1710976162
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Entity Type | Individual
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Provider Name | STEPHANIE D ROMERO CFNP
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Gender | Female
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 05/30/2018
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Provider Practice Location Address
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Address Line | 4300B W RAILROAD ST
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City | GULFPORT
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State | MS
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Zip | 39501
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Country | US
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Telephone | 228-863-7393
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Fax | 228-864-0546
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Provider Business Mailing Address
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Address Line | 4300B W RAILROAD ST
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City | GULFPORT
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State | MS
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Zip | 39501-2568
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Country | US
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Telephone | 228-863-7393
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Fax | 228-864-0546
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R850145
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License Number State | MS
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